person
Thomas Matthew Sistrunk III
Counselor in Las Cruces, New Mexico
NPI 1790050623

Thomas Matthew Sistrunk III is a Counselor based in Las Cruces, NM. Thomas Matthew Sistrunk III practices in Las Cruces, NM. The NPI Number for Thomas Matthew Sistrunk III is 1790050623 and holds a License No. 1790050623 (New Mexico).

The current practice location address for Thomas Matthew Sistrunk III is 2205 S Main St, Las Cruces, NM and can be reached out via phone at 915-355-1411.

Location: 2205 S Main St, Las Cruces, NM, 88005-3113
person
Provider Profile Details
NPI Number
1790050623
Provider Name
Thomas Matthew Sistrunk III
Credential
Provider Entity Type
Individual
Gender
Male
Address
2205 S Main St, Las Cruces, NM, 88005-3113
Phone Number
915-355-1411
Fax Number
Provider Enumeration Date
03/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2205 S Main St
City
State
Zip
88005-3113
Phone Number
915-355-1411
Fax Number
person
Provider Business Mailing Address Details
Address
2205 S Main St
City
State
Zip
88005-3113
Phone Number
915-355-1411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
1790050623 (New Mexico)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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